Journal of manipulative and physiological therapeutics
-
J Manipulative Physiol Ther · Jan 1998
Comparative StudyResponsiveness of pain scales: a comparison of three pain intensity measures in chiropractic patients.
To compare the responsiveness of three pain scales. ⋯ Given the relative ease of use and scoring of the 11-point NRS, and the obvious advantages of using responsive evaluative measures, this scale is recommended for pain intensity measurement in most types of outcome studies. Furthermore, asking patients to report their usual pain levels, rather than current levels, enhances the responsiveness of the measures and is a more representative perspective of their pain experience. The findings of this study have important implications for investigators who wish to select the most appropriate pain scale for use an outcome measure in treatment evaluative trials.
-
J Manipulative Physiol Ther · Jan 1998
A pilot study of the purchase of manipulation services for acute low back pain in the United Kingdom.
The purchasing arrangements for acute low back pain recommended to UK health ministers by the Clinical Standards Advisory Group (CSAG) in 1994 as a cost-neutral way of reducing back pain disability have not been tested in practice. ⋯ GPs complied with CSAG management recommendations when funding of manipulation services was made available. Implementation was associated with better outcomes generally. A fully funded study including chronic back patients is justified.